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NU-4700 EXAM 1 Flashcards | StudBud
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NU-4700 EXAM 1
NU-4700 EXAM 1
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Questions
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Answers
1
Which of these is NOT a risk factor of primary hypertension?
Obesity
Low potassium intake
Use of glucocorticoids
Hyperlipidemia
2
What are some treatment methods to status asthmaticus
Long-Acting Beta-2 Agonist
Heliox
3-dose therapy of short acting beta agnoist 20-30 minutes apart
IV Magnesium Sulfate
3
What might you expect in individual taking Lisinopril to report having? (select all that apply)
Dizziness rising out of bed
Dry nagging cough
Signs of hyperkalemia
Signs of Hypokalemia
4
What are some goals of healthy people 2030 for HTN?
Implementation of the DASH Diet
introduce weight loss reduction techniques.
Increases physical activity.
Restricting your sodium intake to 2300mg
5
An individual with Diastolic Heart Failure ejection fraction will remain above 40%
True
False
6
Which of these statments are true about increased pulmonary blood flow? (select all)
It's cyanotic
It's acyanotic
Occurs when lower pressure left side receives blood.
Occurs when high pressure left side send blood to lower pressure right side
7
What statement would indicate right sided heart failure over left sided heart failure
I have chest pain, and feel my heart is skipping beats.
I can no longer perform my normal ADL'S due to extreme fatigue.
I can hear crackles and wheezes in the lungs.
I've had to remove my wedding ring because it doesn't fit my finger.
8
According to the text what are the classic manifestations of asthma
Dyspnea
Cough
PEFM Below 79%
Wheezing
9
How do ACE/ARB'S help with HF treatment (select all that apply)
Kills the patient with a shock of vampire blood.
ACE'S Blocks the conversion of angiotension 1 to 2
ARB'S block the effect of Angiotensin 2 from occuring.
Both block aldosterone to prevent fluid overload.
10
Stage 2 HIV is considered when individual has an oppurtunistic infection present!
False
True
11
Compensatory Mechanisms are good for the heart overall!
False
True
12
What would require more education when prescribing Sacubitril/Valsartan? (Select all that apply)
I will take this drug 24 hours after my captopril
This drug will be beneficial in individuals who suffered from angioedema
I will make sure to stand up slowly.
I will be cautious giving to individuals with low serum potassium levels.
13
What is one of most common cause of secondary HTN
Diabetes
Kidney disease
Use of Glucocorticoids
Use of oral contraceptives
14
What is first line treatment drugs for African American Population
ACE inhibitors?
Diurtetics
Thiazide + CCB
Beta Blockers + CCB
15
Decreased pulmonary blood flow occurs when right sided pressure causes desaturated blood to return to left side of heart
True
False
16
What might you see in an individual with systolic heart failure? (select all that apply)
increased metabolic needs
Hyperthyroidism
Ejection fraction below 40
A implantable ICD
17
What is the FIRST drug of choice for uncomplicated HTN?
Hydrochlorothiazide
Verapamil
Metoprolol
Lisinopril
18
What does catecholamine release help to do with the heart?
Increase your HR/BP
Release aldosterone
Increase your BNP levels
Vasoconstrict to increase BP
19
a child is sweating profusely, refuses to lie down, and is agitated might be experiencing what?
lol beans io addiction.
Excercise induced broncospasms
Status Asthmaticus
Moderate Asthma Attack
20
What would be some manifestations of ASD?
Frothy pink-tinged sputum
Wheezing, Dyspnea, SOB
Pt will usually be asymptomatic
Systolic Heart Murmur
21
A person is suffering from a disease state that caused hypertension this is known as Essential Hypertension!
False
True
22
These are all signs of left sided heart failure except:
Distended abdomen
Frothy, Pink-tinged sputum
Weak peripheral pulses
S3/S4 Gallop Murmur
23
Your child begins to look cyanotic, has respiratory distress, and faints. What might be occuring?
Severely Low Blood pressures
Coarction of Aorta
Anoxic Spell
Tet Spell
24
What are some non-pharmacological actions that can help in reducing trigger factors for asthma
Dehumidifers
Getting a skin test
exposure to pets at young age to get them use to fur
cockroach control
25
What can be manifestations of CF in individual? (select all)
Dry nonproductive cough
Sterility in males
Definciencies of fat soluble vitamins
Foul smelling stool
26
Alex licks his six-month old baby and they taste salty. Their sweat chloride test is 45mmol/L. What does this mean?
Test has determined that his child has CF.
He should have his child have test retaken in 1-2 months.
27
Why might you see Losartan prescribed over Captopril?
The individual has been diagnosed with a class four heart failure.
The Ejection fraction is below 30%
Because of it's effectivness on severity of the heart failure.
The individual does not like a nagging dry cough.
28
The child is suffering from a high blood pressure, and has absent femoral pulses. What are they experiencing?
Coarctation of the Aorta
Aortic Stenosis
Ventricular Septal Defect
Atrial Septal Defect
29
According to the book, what would you monitor for if individual is on ACE + Diuretic? (select all that apply)
Fluid overload
Hypokalemia
Serum Creatinine above 1.8
Hyperkalemia
30
What defect will the previous answer be seen in?
Tetralogy of Fallot
Coarctation of Aorta
Hypoplastic of Left Heart
Aorituc Stenosis
31
What might you hear in individual with ventricular septal defect?
Normal Heart Sounds
Loud Holosystolic Murmur
Loud Systolic Murmur
Machinery-Like Murmur
32
What type of blood flow is occuring in previous answer?
Obstructed Blood Flow
Increased Pulmonary Blood Flow
Mixed Blood Flow
Decreased Pulmonary Blood Flow
33
Client presents asymptomatic. Upon chest x-ray determined to have cardiomegaly. What CHD might they have?
Pulomonary Stenosis
Tetrology of Fallot
Aortic Stenosis
Coaraction of Aorta
34
What diet comment would show that client is educated on heart failure.
I want the highest salt items in my diet right now. Feed me salt
I will limit my fluid intake to 3 liters daily
I will continue to eat a normal diet and continue eating pickles.
Sodium is bad and I need to decrese it down to at least three grams daily
35
What would indicate FURTHER teaching for PT on a thiazide diuretic?
I can expect a lower sex drive with this drug.
I will be cautious with this drug if I have gout.
I will need to monitor my blood sugars carefully because it can be weird.
I will decrease my potassium intake to avoid hyperkalemia
36
What are the three types of HF?
Valvular Failure
High-Output Failure
Left-Sided Failure
Right-Sided-Failure
37
What can cause left sided heart failure?
Cystic Fibrosis
CAD
Hypertension
Valvular Disease
38
What is an atrial septal defect?
defect with decreased pulmonary blood flow.
Heavily symptomatic
o
An abnormal opening between atria.
39
What are some general facts about cystic fibrosis?
Have higher risk of diabetes then genral population
It's an inherited as autsomal dominant trait
It mutates individuals CFTR protein
CF patients have increased sodium and chloride in sweat and saliva
40
What kind of shunting is caused with a Obstructive Defect?
Left-to-right
None
Right-to-left
41
What lab value would you look into further for heart failure?
Ejection fraction of 50%
BNP of 85
Bun of 18
Specific gravity of 1.085
42
Can an individual pass aids on if their viral load is considered undectable for more then 6-months?
no
yes
43
What type of drug class might you give for Patent Ductus Arterious?
ACE Inhibitor
ARBI
NSAID
Prostaglandin Inhibitor
44
What are potential risk factors related to CHD?
Diabetes
Alcohol Consumption
Family History
Trisomy 21
45
Echocardiographys are used to measure electrical activity in individuals heart
False
True
46
Having edema is a reliable sign of determining if individual has heart failure.
False
True
47
What is the best diagnostic tool for heart failure?
B-Type Natruiretic Peptide
electrocardiogram
echocardiography
Urinalysis
48
A person has a blood pressure of 129/80 what classification of BP is this
Stage 2 Hypertension
Prehypertension
Hypertension Stage 1
Normal
49
What occurs during systolic heart failure?
Right ventricle cannot empty completely.
Heart is unable contract forcefully enough to provide enough blood
Cardiac output is too high for the body to handle
Left ventricle cannot relax enough to fill ventricle with sufficent blood.
50
What would be interventions during a hypertensive crisis? (select all that apply)
Administer IV ACE Inhibitors
Administer IV Beta Blockers
Administer Oral Beta Blockers first
Put patient in semifowlers position
